Bongu, Sanjeev
Bongu, Sanjeev is an individual health care provider with primary practice located at 60 Township Line Rd , Elkins Park PA 19027-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bongu, Sanjeev can be contacted via phone (215) 456-6500.Contact Information
Primary practice address
60 Township Line Rd
Elkins Park PA 19027-2220
Phone: (215) 456-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD054621L | Pennsylvania |
Profile Details
| NPI number | 1306877048 |
|---|---|
| LBN Legal business name | Bongu, Sanjeev |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jun 10th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306877048 | NPPES |
| New Jersey | Other | 951882C2D | MEDICARE BILLING NO |
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